WO2011124646A3 - System for performing intrastromal refractive surgery - Google Patents

System for performing intrastromal refractive surgery Download PDF

Info

Publication number
WO2011124646A3
WO2011124646A3 PCT/EP2011/055434 EP2011055434W WO2011124646A3 WO 2011124646 A3 WO2011124646 A3 WO 2011124646A3 EP 2011055434 W EP2011055434 W EP 2011055434W WO 2011124646 A3 WO2011124646 A3 WO 2011124646A3
Authority
WO
WIPO (PCT)
Prior art keywords
cuts
system
intersecting
stroma
symmetrical
Prior art date
Application number
PCT/EP2011/055434
Other languages
French (fr)
Other versions
WO2011124646A2 (en
Inventor
Josef F. Bille
Luis Antonio Ruiz
Original Assignee
Technolas Perfect Vision Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US12/757,798 priority Critical
Priority to US12/757,798 priority patent/US20100249761A1/en
Priority to US12/780,180 priority patent/US8409179B2/en
Priority to US12/780,180 priority
Application filed by Technolas Perfect Vision Gmbh filed Critical Technolas Perfect Vision Gmbh
Publication of WO2011124646A2 publication Critical patent/WO2011124646A2/en
Publication of WO2011124646A3 publication Critical patent/WO2011124646A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F9/00825Methods or devices for eye surgery using laser for photodisruption
    • A61F9/00838Correction of presbyopia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F9/00825Methods or devices for eye surgery using laser for photodisruption
    • A61F9/00827Refractive correction, e.g. lenticle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00861Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/00872Cornea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00885Methods or devices for eye surgery using laser for treating a particular disease
    • A61F2009/00895Presbyopia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00897Scanning mechanisms or algorithms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser

Abstract

A system for performing intrastromal ophthalmic laser surgery requires Laser Induced Optical Breakdown (LIOB) of stromal tissue without compromising Bowman's capsule (membrane). In detail, the system is computer-controlled to create symmetrical cuts in the stroma relative to a defined axis of the eye. Importantly, these cuts are all distanced from the axis. The actual location and number of cuts in the surgery will depend on the degree of visual aberration being corrected. Further, the system may create different types of cuts in the stroma. For example, the symmetrical cuts (by type) may include cylindrical, radial or annular layer cuts. The different type cuts may be intersecting or non-intersecting depending on the visual aberration being treated.
PCT/EP2011/055434 2007-12-17 2011-04-07 System for performing intrastromal refractive surgery WO2011124646A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US12/757,798 2010-04-09
US12/757,798 US20100249761A1 (en) 2007-12-17 2010-04-09 System and method for altering the optical properties of a material
US12/780,180 US8409179B2 (en) 2007-12-17 2010-05-14 System for performing intrastromal refractive surgery
US12/780,180 2010-05-14

Publications (2)

Publication Number Publication Date
WO2011124646A2 WO2011124646A2 (en) 2011-10-13
WO2011124646A3 true WO2011124646A3 (en) 2011-12-15

Family

ID=44584722

Family Applications (2)

Application Number Title Priority Date Filing Date
PCT/EP2011/055432 WO2011124645A2 (en) 2007-12-17 2011-04-07 System and method for altering the optical properties of a material
PCT/EP2011/055434 WO2011124646A2 (en) 2007-12-17 2011-04-07 System for performing intrastromal refractive surgery

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/EP2011/055432 WO2011124645A2 (en) 2007-12-17 2011-04-07 System and method for altering the optical properties of a material

Country Status (4)

Country Link
US (1) US8409179B2 (en)
EP (1) EP2555701A2 (en)
CN (1) CN102946817A (en)
WO (2) WO2011124645A2 (en)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100249761A1 (en) * 2007-12-17 2010-09-30 Luis Antonio Ruiz System and method for altering the optical properties of a material
US8409179B2 (en) * 2007-12-17 2013-04-02 Technolas Perfect Vision Gmbh System for performing intrastromal refractive surgery
KR101581834B1 (en) * 2015-03-24 2015-12-31 박기성 Integrated corneal photoablation system for correction of both shape error and curvature error

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030208190A1 (en) * 2001-07-20 2003-11-06 Cynthia Roberts Methods and instruments for refractive ophthalmic surgery
WO2007012924A1 (en) * 2005-07-26 2007-02-01 20/10 Perfect Vision Ag System and method for compensating a corneal dissection
US20090187171A1 (en) * 2008-01-18 2009-07-23 Frieder Loesel Computer control for bio-mechanical alteration of the cornea
WO2009144540A1 (en) * 2008-05-30 2009-12-03 20/10 Perfect Vision Operations Gmbh System and method for stray light compensation of corneal cuts
US20100249761A1 (en) * 2007-12-17 2010-09-30 Luis Antonio Ruiz System and method for altering the optical properties of a material
US20100249762A1 (en) * 2007-12-17 2010-09-30 Bille Josef F System for Performing Intrastromal Refractive Surgery

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US4770172A (en) * 1983-11-17 1988-09-13 Lri L.P. Method of laser-sculpture of the optically used portion of the cornea
US4665913A (en) * 1983-11-17 1987-05-19 Lri L.P. Method for ophthalmological surgery
US4669466A (en) * 1985-01-16 1987-06-02 Lri L.P. Method and apparatus for analysis and correction of abnormal refractive errors of the eye
US4887592A (en) * 1987-06-02 1989-12-19 Hanspeter Loertscher Cornea laser-cutting apparatus
US4907586A (en) * 1988-03-31 1990-03-13 Intelligent Surgical Lasers Method for reshaping the eye
US4988348A (en) * 1989-05-26 1991-01-29 Intelligent Surgical Lasers, Inc. Method for reshaping the cornea
US6325792B1 (en) * 1991-11-06 2001-12-04 Casimir A. Swinger Ophthalmic surgical laser and method
US5993438A (en) * 1993-11-12 1999-11-30 Escalon Medical Corporation Intrastromal photorefractive keratectomy
US5928129A (en) * 1994-06-29 1999-07-27 Ruiz; Luis Antonio Apparatus and method for performing presbyopia corrective surgery
US5533997A (en) * 1994-06-29 1996-07-09 Ruiz; Luis A. Apparatus and method for performing presbyopia corrective surgery
US6302877B1 (en) * 1994-06-29 2001-10-16 Luis Antonio Ruiz Apparatus and method for performing presbyopia corrective surgery
US6579282B2 (en) * 2001-04-25 2003-06-17 20/10 Perfect Vision Optische Geraete Gmbh Device and method for creating a corneal reference for an eyetracker
US7130835B2 (en) * 2002-03-28 2006-10-31 Bausch & Lomb Incorporated System and method for predictive ophthalmic correction
US20040044355A1 (en) * 2002-08-28 2004-03-04 Nevyas Herbert J. Minimally invasive corneal surgical procedure for the treatment of hyperopia
US7618415B2 (en) * 2004-04-09 2009-11-17 Technolas Perfect Vision Gmbh Beam steering system for corneal laser surgery
US7717905B2 (en) * 2004-11-01 2010-05-18 Technolas Perfect Vision Gmbh Time-resolved scanning patterns for intrastromal surgery
US7662148B2 (en) * 2004-11-12 2010-02-16 Technolas Perfect Vision Gmbh Systems and methods for intrastromal scanning patterns
US7717908B2 (en) * 2007-12-17 2010-05-18 Technolas Perfect Vision Gmbh Method patterns for intrastromal refractive surgery
US7717907B2 (en) * 2007-12-17 2010-05-18 Technolas Perfect Vision Gmbh Method for intrastromal refractive surgery
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Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030208190A1 (en) * 2001-07-20 2003-11-06 Cynthia Roberts Methods and instruments for refractive ophthalmic surgery
WO2007012924A1 (en) * 2005-07-26 2007-02-01 20/10 Perfect Vision Ag System and method for compensating a corneal dissection
US20100249761A1 (en) * 2007-12-17 2010-09-30 Luis Antonio Ruiz System and method for altering the optical properties of a material
US20100249762A1 (en) * 2007-12-17 2010-09-30 Bille Josef F System for Performing Intrastromal Refractive Surgery
US20090187171A1 (en) * 2008-01-18 2009-07-23 Frieder Loesel Computer control for bio-mechanical alteration of the cornea
WO2009144540A1 (en) * 2008-05-30 2009-12-03 20/10 Perfect Vision Operations Gmbh System and method for stray light compensation of corneal cuts

Also Published As

Publication number Publication date
EP2555701A2 (en) 2013-02-13
CN102946817A (en) 2013-02-27
WO2011124646A2 (en) 2011-10-13
WO2011124645A3 (en) 2011-12-22
US20100249762A1 (en) 2010-09-30
WO2011124645A2 (en) 2011-10-13
US8409179B2 (en) 2013-04-02

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